The Great Relationships Store
              Dick Wulf, MSW        Jean Wulf, MSW, LCSW             

SIGN-UP FORM

FOR SELLING LICENSES FOR
FAMILY-BUILDING & MARRIAGE-BUILDING BROCHURES

Your Name: __________________________________________________________________

Your Address: ________________________________________________________________

________________________________________________________________

City: _________________    State: ________     Zip: ____________

Your Phone Numbers with Area Codes:

______________________________          _______________________________

I want to help families, couples and children by selling licenses to stores and services for Family-Building & Marriage-Building Promotional Brochures. I know that your estimates of earnings are not guarantees and agree to not hold you or your company responsible for the results or lack of results of my efforts. Therefore, I am enclosing $25 for your Start-Up Kit for selling licenses to stores and services for Family-Building & Marriage-Building Promotional Brochures.

________________________________________
signature

Sales Area I am requesting*: ______________________________________________________

         * This should most likely be your own community, county, or geographical region. Areas are
            given on a first-requested basis. If you want to discuss this with us first or do this faster, call
            us at 1-877-906-5423. This is a voice mail and we will be back in touch with you ASAP.

Please use your Back Button to return where you came from.